A pulpotomy is a common procedure used to treat a baby tooth with deep decay that has reached the inner pulp. During the procedure, we carefully remove the infected portion of the pulp inside the crown of the tooth while preserving the healthy root tissue. This helps relieve pain, stop infection, and maintain the baby tooth until it’s ready to come out.
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Pulpotomy vs Root Canal
A pulpotomy and a root canal both treat infected pulp, but they are different procedures. A pulpotomy removes only the infected pulp in the top portion of the tooth, typically in baby teeth. A root canal removes all pulp tissue from both the crown and roots and is more common for permanent teeth. We can recommend the most appropriate option based on your child’s needs.
Are pulpotomies painful?
Pulpotomies are not overly uncomfortable during the procedure because we use local anesthesia to numb the area and keep your child comfortable. Some mild soreness may occur afterward, but it is usually temporary and manageable, and we can provide you with aftercare instructions. Should you have any questions or concerns, feel free to reach out at any time.
Does a pulpotomy need a crown?
In most cases, a baby tooth that has received a pulpotomy will need a dental crown. A crown helps protect the treated tooth, restore strength, and prevent further damage or decay. Pediatric crowns are durable and designed to withstand chewing forces, helping the tooth remain functional until it is ready to fall out naturally.

How long do pulpotomies last?
When properly performed and restored with a crown, pulpotomies can last until the baby tooth naturally falls out. The goal is to preserve the tooth’s function and maintain proper spacing until the permanent tooth underneath is ready to grow in. With regular checkups and good oral hygiene, pulpotomies are highly successful and provide long-term protection for your child’s smile!
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